CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: St Vincent Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$50
about 1.5× the $34 Medicare rate · typically $33–$60
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
About the fair price
about $7 over the fair price · 1.7× Medicare
Medicare pays $34 Fair price $50 This hospital $57 Cash price $251 Hospital's list price $335

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $35 Priciest $57

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (functional capacity test) is about $50 (about 1.5× the $34 Medicare rate). St Vincent Hospital charges insurers about $57, or about $251 in cash — about the fair price. Located in Worcester, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $89 - $99 264%
Health Net $24 71%
+ 1 smaller / regional plan $24
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 123 Summer Street, Worcester, MA 01608
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals